DPWFC Kids Program: Expression of Interest

Expression of Interest Form

This form is for parents to register their child’s interest in DPWFCs kids program which supports parents to participate in the EmpowerHer program. Refer to the ‘orange square’ on the image below and note that parents must be registered for the EmpowerHer program to enrol their children in this program.
Child’s name

First NameLast Name
Birth Date

MonthDayYear
Gender
Parent name

First NameLast Name
Parent E-mail
example@example.com
Mobile Number
Additional Comments or Questions
Should be Empty:

Expression of Interest Form